Individual
HALEY HANI DICKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 477-0017
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5334
SC
363AM0700X
Medical Physician Assistant
5601008291
MI
Other
Enumeration date
09/05/2017
Last updated
08/16/2024
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